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2020/04/01 AppleOne Certificate of Liability InsuranceHOWRGEN-01 DORI ,d►��R�' CERTIFICATE OF LIABILITY INSURANCE F;ATE (mM/DDNYYY) 7/6/2020 S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieulsuch endorsement(s). PRODUCER CITY DF TALM. CONTACT FIS���CL MG Skinner & Associates NAME: PHONE FAX 310) 479-8707 11030 Santa Monica Blvd., Suite 207 I A/c, No, E■t : (310 478-5041 A/C, No Los Angeles, CA 90025 jFiS! e `_ ii��o Unssl INSURER(S) AFFORDING COVERAGE NAIC It INSURED _ INSURER A: Zurich American Insurance Company American Guarantee And Liability Insurance Company INSURER B : tY P Y Howroyd Wright Employment Agency, Inc. dba AppleOne INSURER C : Ace American Ins Co P.O. BOX 29048 INSURER D : Glendale, CA 91209-9048 INSURER E INSURER F .OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. JSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPJIL LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,0 CLAIMS -MADE I OCCUR X IPRA 9698691-08 4/1/2020 4/1/2021 OAEMGSETO RENTED $ 1,000,0 X Contractual Liab. MED EXP /Anv one oerson) $ 10'0 L AGGREGATE LIMIT APPLIES PER: POLICY lJ JECPROT - ❑ LOC I GENERAL AGGREGATE 1 $ A AUTOMOBILE LIABILITY I COMaINEU SINGLE LIMIT $ 1,000,000 X ANY AUTO X IPRA 9698691-08 4/1/2020 4/1/2021 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Pa[accden $ X AUTOS X AUTOS ONLY PPer= Gi: ONLY $ B X UMBRELLA LIAB M OCCUR EACHOCCURRENCE 15,000,006 EXCESS LIAR CLAIMS -MADE IUMB9467218-08 4/1/2020 4/1/2021 AGGREEGATEGATE $ 15,000,000 DED I X I RETENTION $ 0 C WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS' LIABILITY YIN /EXCLUDED? ECUTIVE 'WLRC66921736 4/1/2020 4/1/2021 STATUTE E.L EACH ACCIDENT 1 $ 'DD�'��� OFFICER M�MBEERANY (Mandatory in NH) I N / A 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -EA EMPLOYEE E L DISEASE - POLICY LIMIT $ $ 1,000,000 A Crime (3rd Party) IPRA 9698691-08 41112020 4/1/2021 Occurrence/Aggregate 3,000,000 A E&O /Prof. Liab. IPRA 9698691-08 4/1/2020 4/1/2021 Occurrence/Aggregate 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Ciry of Menifee and its offices, employeees, agents and authorized volunteers are additional insureds. Primary and non-contributory coverage applies. Separation of Insureds (cross liability) clause applies under General Liability. Notice of Cancellation under applicable policies: 30 days 110 days for non-payment of premium. General Liability and Auto Liability deductible: $0 CERTIFICATE HOLDER City of Menifee 29844 Haun Road Menifee, CA 92586 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ,,- ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD